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7 result(s)
Conference Material > Video

Mental health in the Mbya Guarani population: Analysis of cultural practices in search of well being

Von Schmeling C
MSF Scientific Days Latin America 2024. 5 November 2024
Conference Material > Abstract

Salud mental en población Mbya Guaraní: Análisis de prácticas culturales en búsqueda del bienestar

Von Schmeling C
MSF Scientific Days Latin America 2024. 5 November 2024
Español

Given the relevant prevalence of mental health problems in Mbyá Guaraní indigenous population and the lack of specific information for a more effective care in these communities, it is necessary to delve into their conceptions on mental health, illness and their use of therapeutic systems. Positive associations of the indigenous conception of well-being and certain cultural practices are found in the literature.


The aim of this work is to synthesize the existing literature on conceptions of mental health, illness, cultural practices, and use of therapeutic systems in the indigenous population. A systematic search of the existing literature was carried out in order to review findings on the conceptions of mental health in indigenous population. The databases used were Pubmed, Cochrane Library, Scielo, and Redalyc. The findings show that the conception of mental health is closely related to the idea of well-being or good living, disease is conceived as disease of the spirit; and because of the variability of its causes, indigenous people resort to different types of care, including self-care in the first place, consultation to the Opygúa and medical advice from the white doctor on some problems for which medication can prove effective.

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Journal Article > ResearchFull Text

Multidrug resistant pulmonary tuberculosis treatment regimens and patient outcomes: an individual patient data meta-analysis of 9,153 patients

PLOS Med. 28 August 2012; Volume 9 (Issue 8); DOI:10.1371/journal.pmed.1001300
Ahuja SD, Ashkin D, Avendano M, Banerjee R, Bayona J,  et al.
PLOS Med. 28 August 2012; Volume 9 (Issue 8); DOI:10.1371/journal.pmed.1001300
Treatment of multidrug resistant tuberculosis (MDR-TB) is lengthy, toxic, expensive, and has generally poor outcomes. We undertook an individual patient data meta-analysis to assess the impact on outcomes of the type, number, and duration of drugs used to treat MDR-TB.More
Journal Article > ResearchAbstract

Prioritising prevention strategies for patients in antiretroviral treatment programmes in resource-limited settings

AIDS Care. 1 June 2010; Volume 22 (Issue 6); DOI:10.1080/09540120903349102
Spaar A, Graber C, Dabis F, Coutsoudis A, Bachmann L,  et al.
AIDS Care. 1 June 2010; Volume 22 (Issue 6); DOI:10.1080/09540120903349102
Expanded access to antiretroviral therapy (ART) offers opportunities to strengthen HIV prevention in resource-limited settings. We invited 27 ART programmes from urban settings in Africa, Asia and South America to participate in a survey, with the aim to examine what preventive services had been integrated in ART programmes. Twenty-two programmes participated; eight (36%) from South Africa, two from Brazil, two from Zambia and one each from Argentina, India, Thailand, Botswana, Ivory Coast, Malawi, Morocco, Uganda and Zimbabwe and one occupational programme of a brewery company included five countries (Nigeria, Republic of Congo, Democratic Republic of Congo, Rwanda and Burundi). Twenty-one sites (96%) provided health education and social support, and 18 (82%) provided HIV testing and counselling. All sites encouraged disclosure of HIV infection to spouses and partners, but only 11 (50%) had a protocol for partner notification. Twenty-one sites (96%) supplied male condoms, seven (32%) female condoms and 20 (91%) provided prophylactic ART for the prevention of mother-to child transmission. Seven sites (33%) regularly screened for sexually transmitted infections (STI). Twelve sites (55%) were involved in activities aimed at women or adolescents, and 10 sites (46%) in activities aimed at serodiscordant couples. Stigma and discrimination, gender roles and funding constraints were perceived as the main obstacles to effective prevention in ART programmes. We conclude that preventive services in ART programmes in lower income countries focus on health education and the provision of social support and male condoms. Strategies that might be equally or more important in this setting, including partner notification, prompt diagnosis and treatment of STI and reduction of stigma in the community, have not been implemented widely.More
Journal Article > ResearchFull Text

Cross-sectional analysis of COVID-19 vaccine intention, perceptions and hesitancy across Latin America and the Caribbean

Travel Med Infect Dis. 1 May 2021; Volume 41; 102059.; DOI:10.1016/j.tmaid.2021.102059
Urrunaga-Pastor D, Bendezu-Quispe G, Herrera-Anazco P, Uyen-Cateriano A, Toro-Huamanchumo CJ,  et al.
Travel Med Infect Dis. 1 May 2021; Volume 41; 102059.; DOI:10.1016/j.tmaid.2021.102059
BACKGROUND
Determinants of vaccine acceptance are multifactorial, complex, and in most cases, context-dependent. We determined the prevalence of COVID-19 vaccination intention (VI) and fear of its adverse effects (FAE) as well as their associated factors in Latin America and the Caribbean (LAC).

METHODS
We conducted a secondary cross-sectional analysis of a database collected by the University of Maryland and Facebook. We included participants aged 18 and over from LAC surveyed, January 15 to February 1, 2021. We evaluated VI, FAE, sociodemographic characteristics, COVID-19 symptomatology, compliance with community mitigation strategies, food and economic insecurity, mental health evaluation and the influence in VI when recommended by different stakeholders. We calculated crude and adjusted prevalence ratios with their 95%CIs.

RESULTS
We analyzed 472,521 responses by Latin American adults, finding a VI and FAE prevalence of 80.0% and 81.2%, respectively. We found that female and non-binary genders were associated with a lower probability of VI and a higher probability of FAE. Besides, living in a town, village or rural area and economic insecurity was associated with a higher FAE probability. The fears of becoming seriously ill, a family member becoming seriously ill from COVID-19 and having depressive symptoms were associated with a higher probability of VI and FAE.

CONCLUSION
Eight out of 10 adults in LAC have VI and FAE. The factors identified are useful for the development of communication strategies to reduce FAE frequency. It is necessary to guarantee mass vaccination and support the return of economic activities.
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Journal Article > ResearchFull Text

Strategies for reducing treatment default in drug-resistant tuberculosis: systematic review and meta-analysis [Review article]

Int J Tuberc Lung Dis. 4 December 2012; Volume 17 (Issue 3); DOI:10.5588/ijtld.12.0537
Toczek A, Cox HS, du Cros PAK, Cooke GS, Ford NP
Int J Tuberc Lung Dis. 4 December 2012; Volume 17 (Issue 3); DOI:10.5588/ijtld.12.0537
BACKGROUND: Scaling up treatment for multidrug-resistant tuberculosis is a global health priority. However, current treatment regimens are long and associated with side effects, and default rates are consequently high. This systematic review aimed to identify strategies for reducing treatment default.METHODS: We conducted a systematic search up to May 2012 to identify studies describing interventions to support patients receiving treatment for multidrug-resistant tuberculosis (MDR-TB). The potential influence of study interventions were explored through subgroup analyses.RESULTS: A total of 75 studies provided outcomes for 18 294 patients across 31 countries. Default rates ranged from 0.5% to 56%, with a pooled proportion of 14.8% (95%CI 12.4-17.4). Strategies identified to be associated with lower default rates included the engagement of community health workers as directly observed treatment (DOT) providers, the provision of DOT throughout treatment, smaller cohort sizes and the provision of patient education.CONCLUSION: Current interventions to support adherence and retention are poorly described and based on weak evidence. This review was able to identify a number of promising, inexpensive interventions feasible for implementation and scale-up in MDR-TB programmes. The high default rates reported from many programmes underscore the pressing need to further refine and evaluate simple intervention packages to support patients.More
Journal Article > ResearchFull Text

Treatment Outcomes of Treatment-Naïve Hepatitis C Patients co-infected with HIV: a systematic review and meta-analysis of observational cohorts

PLOS One. 5 February 2013; Volume 8 (Issue 2); DOI:10.1371/journal.pone.0055373
Davies A, Singh K, du Cros PAK, Mills EJ, Cooke GS,  et al.
PLOS One. 5 February 2013; Volume 8 (Issue 2); DOI:10.1371/journal.pone.0055373
Co-infection with Hepatitis C (HCV) and HIV is common and HIV accelerates hepatic disease progression due to HCV. However, access to HCV treatment is limited and success rates are generally poor.